- ChenMed (Miami, FL)
- …experience in Hospital medicine preferred + At least one (1) year of utilization review experience preferred **PAY RANGE:** $198,797 - $283,995 Salary **EMPLOYEE ... our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. Other… more
- Carle Health (Urbana, IL)
- …in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document on all ... with patient/family and physician to determine next level of care Conducts case review presentations to educate...care team. Initiates timely referrals to other health care team members (quality improvement, risk manager ,… more
- Carle Health (Normal, IL)
- …in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document on all ... of discharge planning while facilitating a safe and timely transition from the acute care /hospital setting to an appropriate level of care outside the hospital.… more
- Carle Health (Champaign, IL)
- …years Responsibilities Maintain current knowledge of case management and utilization review trends including the entire continuum of care within and beyond ... care outcomes. The incumbent will have a deep understanding of utilization review and case management principles, case management best practices, policies,… more
- Northern Light Health (Unity, ME)
- …Serves in collaborate with the healthcare team to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services. ... all members of the healthcare team. In improving the care of the patient and families of Northern Light...of Northern Light Health physician practices, the physician practice manager is committed to the constant pursuit of excellence… more
- Northern Light Health (Bangor, ME)
- …+ Names, dates, and times of conversations with businesses, insurances, managed care organizations, Utilization Review , and patients are documented, ... Northern Light Eastern Maine Medical Center Department: Primary Care - EMMC Position is located: 925 Union Street Work Type: Full Time Hours Per Week: 36 Work… more
- Battelle Memorial Institute (Sneads Ferry, NC)
- …effects of physical training protocols under the supervision of the HP program Manager and/or Coordinator + Coordinate training programs with HP staff to ensure a ... who are TDY/TAD or deployed under the supervision of the HP program Manager and/or Coordinator + Demonstrate and provide instruction and guidance on physical… more
- CenterWell (Shreveport, LA)
- …and protocol defined by Clinical Leadership. + Meets with AMD about quality of care , review of outcome data, policy, procedure and records issues. + Participates ... care , ongoing treatment plans and coordination with specialists and other care providers. Responsibility for results review (imaging, laboratory testing,… more
- Veterans Affairs, Veterans Health Administration (Birmingham, AL)
- …administrative guidelines. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... received by the cut-off date and/or when the hiring manager requests for candidates will be notified at that...Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure… more
- HCA Healthcare (Manchester, NH)
- …Focused or ongoing professional practice evaluations (FPPE/OPPE), performance improvement, utilization patterns, peer review , or other performance information. ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Director...Work Product (PSWP). **Risk Management** Coordinate with the risk manager to review and evaluate an applicant's… more